PORTLAND ADVENTIST MEDICAL CENTER
10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Culture typing added method CPT 87158 | $11.20 | $35.00 | $2.71 – $63.00 | 25 |
| Culture typing immunologic CPT 87147 | $34.56 | $108.00 | $3.52 – $122.40 | 25 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $48.00 | $150.00 | $28.07 – $155.59 | 25 |
| Culture urine each isolate CPT 87088 | $32.32 | $101.00 | $6.47 – $181.80 | 25 |
| Cutter lead HCPCS C1773 | $531.52 | $1,661.00 | $1,285.20 – $1,285.20 | 1 |
| Cv line/pic reposition CPT 36597 | $1,531.20 | $4,785.00 | $1,399.77 – $8,613.00 | 18 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $30.13 | $94.15 | $1.28 – $70.08 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $26.24 | $82.00 | $10.36 – $147.60 | 25 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $815.45 | $2,548.28 | $0.62 – $3,272.16 | 22 |
| Cyclosporine 2 hour CPT 80158 | $28.16 | $88.00 | $14.44 – $158.40 | 25 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $12.04 | $37.64 | $1.06 – $90.34 | 11 |
| Cystatin c CPT 82610 | $25.92 | $81.00 | $14.82 – $145.80 | 25 |
| Cystic fibrosis cftr CPT 81223 | $2,255.07 | $7,047.10 | $399.20 – $3,917.15 | 24 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $340.16 | $1,063.00 | $44.24 – $1,913.40 | 23 |
| Cystoscopy (Bladder Scope) CPT 52000 | $888.96 | $2,778.00 | $620.05 – $5,000.40 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $21.76 | $68.00 | $9.79 – $122.40 | 25 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $24.96 | $78.00 | $13.14 – $140.40 | 25 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $140.80 | $440.00 | $46.34 – $792.00 | 23 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $43.20 | $135.00 | $16.21 – $225.00 | 24 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $48.00 | $150.00 | $33.21 – $270.00 | 23 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $176.64 | $552.00 | $47.19 – $993.60 | 23 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $110.40 | $345.00 | $46.34 – $621.00 | 23 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $100.86 | $315.20 | $0.06 – $756.48 | 11 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,072.05 | $6,475.16 | $2.46 – $4,699.32 | 24 |
| Dch pulmonary stress test CPT 94621 | $397.44 | $1,242.00 | $331.82 – $2,235.60 | 18 |
| Dch validity tests CPT 81002 | $12.80 | $40.00 | $1.39 – $72.00 | 25 |
| Deamidated gliadin antibody iga CPT 86258 | $26.56 | $83.00 | $4.98 – $74.45 | 22 |
| Debridement (>20 cm) charge pt CPT 97598 | $152.64 | $477.00 | $17.46 – $858.60 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | $763.84 | $2,387.00 | $1,468.63 – $6,875.03 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $188.48 | $589.00 | $38.05 – $1,060.20 | 16 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $389.44 | $1,217.00 | $67.80 – $2,190.60 | 16 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $668.80 | $2,090.00 | $361.48 – $2,894.40 | 18 |
| Debride nail1-5 11720 CPT 11720 | $98.24 | $307.00 | $52.46 – $424.80 | 18 |
| Debride nail6 or more 11721 CPT 11721 | $23.68 | $74.00 | $52.46 – $245.56 | 17 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $82.56 | $258.00 | $17.66 – $464.40 | 16 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $776.64 | $2,427.00 | $657.20 – $4,368.60 | 17 |
| Decalcification CPT 88311 | $24.96 | $78.00 | $16.74 – $140.40 | 21 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $514.24 | $1,607.00 | $293.71 – $2,224.80 | 18 |
| Delivery of placenta 59414 CPT 59414 | $1,489.28 | $4,654.00 | $2,878.51 – $13,475.03 | 18 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $213.44 | $667.00 | $194.72 – $1,200.60 | 18 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $36.80 | $115.00 | $20.76 – $276.00 | 24 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $165.44 | $517.00 | $118.31 – $930.60 | 18 |
| Design mlc device for imrt CPT 77338 | $1,712.00 | $5,350.00 | $332.95 – $9,630.00 | 22 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $794.75 | $2,483.60 | $6.82 – $746.06 | 13 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $429.44 | $1,342.00 | $178.41 – $2,415.60 | 18 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $246.40 | $770.00 | $178.41 – $1,386.00 | 17 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $79.36 | $248.00 | $178.41 – $835.17 | 18 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $79.36 | $248.00 | $178.41 – $835.17 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $1,361.92 | $4,256.00 | $1,834.71 – $8,588.75 | 18 |
| Destroy vulva lesion simple 56501 CPT 56501 | $729.28 | $2,279.00 | $1,834.71 – $8,588.75 | 17 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $159.36 | $498.00 | $361.48 – $1,692.18 | 17 |
| Destruction 2-14 lesions 17003 CPT 17003 | $21.76 | $68.00 | $1.38 – $122.40 | 16 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $514.56 | $1,608.00 | $361.48 – $2,894.40 | 17 |
| Destruction benign lesions < 14 lesions CPT 17110 | $79.36 | $248.00 | $178.41 – $835.17 | 17 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $729.28 | $2,279.00 | $1,834.71 – $8,588.75 | 17 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $159.36 | $498.00 | $361.48 – $1,692.18 | 17 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,839.36 | $11,998.00 | $2,878.51 – $21,596.40 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | $60.80 | $190.00 | $28.88 – $342.00 | 3 |
| Device ablt adv novasure HCPCS C1886 | $1,797.76 | $5,618.00 | $10,112.40 – $10,112.40 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,383.04 | $7,447.00 | $13,404.60 – $13,404.60 | 1 |
| Device intraute mirena HCPCS J7298 | $1,632.46 | $5,101.45 | $2,915.12 – $12,243.48 | 11 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $113.28 | $354.00 | $27.54 – $637.20 | 23 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $218.84 | $683.86 | $0.02 – $55.18 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $30.81 | $96.28 | $0.22 – $5.42 | 11 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $17.93 | $56.02 | $2.62 – $134.45 | 11 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $17.93 | $56.02 | $19.16 – $134.45 | 11 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $34.24 | $107.00 | $17.78 – $192.60 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $25.60 | $80.00 | $1.36 – $36.36 | 25 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $165.44 | $517.00 | $118.31 – $553.83 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $65.60 | $205.00 | $310.18 – $370.65 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $62.08 | $194.00 | $242.50 – $349.20 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $301.76 | $943.00 | $177.49 – $830.90 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $225.28 | $704.00 | $136.26 – $1,267.20 | 21 |
| Diagnostic Mammogram (one breast) CPT 77065 | $156.48 | $489.00 | $107.54 – $880.20 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | $2,757.44 | $8,617.00 | $77.38 – $586.80 | 19 |
| Dialysis one evaluation CPT 90945 | $1,161.92 | $3,631.00 | $371.04 – $7,262.00 | 19 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $56.76 | $177.38 | $13.38 – $335.02 | 11 |
| Dicyclomine injection HCPCS J0500 | $118.57 | $370.53 | $22.66 – $889.27 | 11 |
| Diffusing capacity CPT 94729 | $141.44 | $442.00 | $55.73 – $795.60 | 16 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $14.38 | $44.94 | $19.14 – $103.06 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $65.28 | $204.00 | $10.62 – $367.20 | 25 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,857.92 | $12,056.00 | $3,134.48 – $21,700.80 | 18 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.47 | $4.60 | $0.04 – $9.91 | 11 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $24.82 | $77.56 | $1.42 – $21.10 | 11 |
| Disability dlco CPT 94727 | $186.56 | $583.00 | $192.00 – $1,049.40 | 18 |
| Dna antibody native/double stranded CPT 86225 | $22.08 | $69.00 | $9.48 – $124.20 | 25 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $63.94 | $199.80 | $16.04 – $107.21 | 11 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $31.58 | $98.68 | $1.60 – $104.66 | 11 |
| Doppler echo complete CPT 93320 | $283.52 | $886.00 | $44.58 – $1,594.80 | 16 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,313.28 | $7,229.00 | $13,012.20 – $13,012.20 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $309.44 | $967.00 | $192.00 – $1,740.60 | 19 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $272.96 | $853.00 | $118.31 – $1,535.40 | 19 |
| Dornase alfa non-comp unit HCPCS J7639 | $185.36 | $579.26 | $110.32 – $1,390.22 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $414.73 | $1,296.02 | $5.56 – $1,126.87 | 11 |
| Dpyd gene common variants CPT 81232 | $211.68 | $661.50 | $139.85 – $1,190.70 | 24 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $977.28 | $3,054.00 | $629.68 – $5,497.20 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $977.28 | $3,054.00 | $629.68 – $5,497.20 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.